精神医学65巻9号

2023年09月発行

特集 拡がり続ける摂食障害（摂食症）—一般化とともに拡散・難治化する精神病理にどう対処するか ［摂食障害の治療］

自閉スペクトラム症を併存する摂食障害（摂食症）

著者： 小坂浩隆¹ 幅田加以瑛¹ 眞田陸¹

所属機関： ¹福井大学医学系部門病態制御医学講座精神医学

ページ範囲：P.1271 - P.1277

抄録
　自閉スペクトラム症（ASD）と摂食障害（摂食症），異なる障害に思われるが，併発していることが意外にも多い。共通点としては，対人関係の不安定さ，食べ物，体重や運動へのこだわり，口腔内感覚の過敏さからの食物選択性，拒食，食物新奇性恐怖症などがあり，生後すぐからそれらの傾向は認められる。一方で，ASD特性が強い青年期女性は，本来の自分と違うキャラクターを演じるカモフラージュを行うことも多く，医療者がASDの存在に気づけないことも多い。標準的な治療に抵抗性がある摂食症者のなかに，ASDを併発している方が多く，ASD特性を評価して，それを考慮した摂食障害の治療計画をするべきと考えられる。

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